OrganizationActive
Dental Depot of Mustang, PLLC
NPI 1679323182 · Dental Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1679323182
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gaylon Zissa, Director of Provider Relations(918) 742-2123
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2825 S Mustang Road
Oklahoma City, OK 73099
Phone: (405) 289-0123
Approximate (ZIP-level) locationGet directions
Mailing address
2828 Nw 30th St
Oklahoma City, OK 73112-7404
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-03-26
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.